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Transfer Modality Research Initiative - Bangladesh (TMRI)

This study is ongoing, but not recruiting participants.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02237144
First Posted: September 11, 2014
Last Update Posted: February 29, 2016
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
United Nations World Food Programme (WFP)
German Ministry for Economic Cooperation and Development
Swiss Agency for Development and Cooperation
United States Agency for International Development (USAID)
Department for International Development, United Kingdom
Consortium of International Agricultural Research Centers
Information provided by (Responsible Party):
International Food Policy Research Institute
  Purpose
This is a randomized control trial in two zones of Bangladesh (north and south). Treatment is assigned at the village level where treatments are: cash transfers (north and south); cash transfers + nutrition behavior communication change (north only); food transfers (north and south); food transfers + nutrition behavior communication change (south only); food-cash split (north and south); and controls (north and south). Within treatment localities, women living in very poor households are targeted to receive benefits for two years.

Condition Intervention
Improving Pre-school Anthropometric Status Improving Household Food Security Improving Maternal Nutrition Knowledge Other: Cash transfer Other: Food transfer Other: Food and cash transfer Behavioral: Behavior Communication Change (BCC)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Basic Science
Official Title: Transfer Modality Research Initiative - Bangladesh

Further study details as provided by International Food Policy Research Institute:

Primary Outcome Measures:
  • Child anthropometry [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Height for age z scores Weight for height z scores Weight for age z scores Stunting Wasting Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Child food intake [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Number of unique foods consumed in previous 24 hours Number of food groups consumed in previous 24 hours Consumption of specified food groups - animal source foods, dairy, Vitamin A rich foods etc Caloric consumption in previous 24 hours Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Child health [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Did mother report child was ill in previous 2 weeks Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Distribution of food intake within the household [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Consumption of foods by all household members in previous 24 hours as recalled by mothers as measured by yes/no questions on foods, food groups and calories Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Household food security [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Food groups consumed by household in previous seven days Number of unique foods consumed in previous seven days Number of food groups consumed in previous seven days Number of food groups consumed in previous seven days weighted by nutritional value and frequency of consumption Value of food consumption in previous seven days Household caloric availability in previous seven days Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Maternal nutrition knowledge [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Maternal knowledge of infant and young child feeding practices (IYCF) Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Levels assessed in 2013 and 2014 and as changes between 2012-2013, 2013-2014 and 2012-2014


Secondary Outcome Measures:
  • Household consumption [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Value of food consumption in previous seven days Value of monthly non-food consumption Value of monthly non-food consumption by specified sub-groups (clothing, medical expenses, education expenses, transport, consumables, semi-durables) Value of monthly household consumption (food and non-food) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Household income [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Value of annual income derived from agriculture at endline (2014) Value of annual income derived from non-agricultural sources at endline (2014) Value of annual total income derived from all sources at endline (2014) Change in annual income (agriculture, non-agricultural, total) between 2012-2013, 2013-2014 and 2012-2014 Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Asset accumulation [ Time Frame: Baseline. Up to 12 months. Up to 24 months. ]
    Index (z score) of consumer durables Index (z score) of productive assets Index of quality of housing stock Productive land ownership (ha) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  • Women's empowerment [ Time Frame: Up to 12 months. Up to 24 months. ]
    Index of women's decision making autonomy within the household Index of women's mobility outside the household Outcome measured as level in 2013, level in 2014 and change between 2013-2014

  • Information spillovers to non-beneficiaries [ Time Frame: Up to 24 months. ]
    Knowledge of infant and young child feeding practices (IYCF) of mothers Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Non-beneficiaries are mothers living near intervention households (within approximately a 10 minute walk) in the following treatment arms: North: cash, cash + BCC, control. South: food, food + BCC, control. Levels assessed in 2014


Estimated Enrollment: 5000
Study Start Date: April 2012
Estimated Study Completion Date: December 2016
Primary Completion Date: January 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cash transfer
1500 taka ($18.75) per household distributed monthly
Other: Cash transfer
1500 taka ($18.75) per household distributed monthly
Experimental: Food transfer
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
Other: Food transfer
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
Experimental: Food and cash transfer
15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly
Other: Food and cash transfer
15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly
Experimental: Cash transfer + BCC
1500 taka ($18.75) per household distributed monthly Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits
Other: Cash transfer
1500 taka ($18.75) per household distributed monthly
Behavioral: Behavior Communication Change (BCC)
Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits
Experimental: Food transfer + BCC
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits
Other: Food transfer
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
Behavioral: Behavior Communication Change (BCC)
Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   15 Years to 65 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Child age < 60 months

Exclusion Criteria:

  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02237144


Locations
Bangladesh
International Food Policy Research Institute
Dhaka, Bangladesh
Sponsors and Collaborators
International Food Policy Research Institute
United Nations World Food Programme (WFP)
German Ministry for Economic Cooperation and Development
Swiss Agency for Development and Cooperation
United States Agency for International Development (USAID)
Department for International Development, United Kingdom
Consortium of International Agricultural Research Centers
Investigators
Principal Investigator: Akhter Ahmed, PhD International Food Policy Research Institute
Principal Investigator: John Hoddinott, DPhil International Food Policy Research Institute
Principal Investigator: Shalini Roy, PhD International Food Policy Research Institute
  More Information

Responsible Party: International Food Policy Research Institute
ClinicalTrials.gov Identifier: NCT02237144     History of Changes
Other Study ID Numbers: AEARCTR-0000247
First Submitted: September 3, 2014
First Posted: September 11, 2014
Last Update Posted: February 29, 2016
Last Verified: January 2016

Additional relevant MeSH terms:
Micronutrients
Trace Elements
Growth Substances
Physiological Effects of Drugs